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FREEMAN RANDOLPH JACKSON M.D.
NPI 1235112178
Radiology - Diagnostic Radiology in Greensboro, NC

Active since November 23, 2005
1331 N ELM ST, SUITE 200, GREENSBORO, NC 27401(336) 274-9617(336) 482-2177 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Freeman Randolph Jackson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREEMAN RANDOLPH JACKSON M.D. (NPI 1235112178) is an individual diagnostic radiology provider in Greensboro, North Carolina, licensed in North Carolina (22747) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1235112178
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameFREEMAN RANDOLPH JACKSONCredential: M.D.
Location Address1331 N ELM ST, SUITE 200Greensboro, NC 27401-6302
Mailing Address1331 N Elm St, Suite 200Greensboro, NC 27401-6302 · (336) 274-9617 · Fax (336) 482-2177
Phone(336) 274-9617
Fax(336) 482-2177
Sole ProprietorNo
Enumeration DateNovember 23, 2005
Last NPPES UpdateOctober 15, 2014
✔ NPI 1235112178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NC · 22747
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1331 N ELM ST, Greensboro, NC 27401
Open in Google Maps ↗

Other Identifiers 8

Other300085677NC · Railroad Medicare
Other1600271NC · United Healthcare
Other73479NC · Medcost
Medicare UPINC87078NC
Other45552NC · Blue Cross Blue Shield
Medicaid8945552NC
Medicare ID-Type Unspecified207529HNC
Other23519NC · Partners

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA CRITE FNP
Nurse Practitioner (Family)
1331 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 273-7051
RAYMOND CHARLES RUBNER JR. M.D.
Radiology (Diagnostic Radiology)
1331 N ELM ST, SUITE 200
GREENSBORO, NC 27401
Guilford County (336) 274-9617
GREENSBORO HEART CENTER LLC
Clinic/Center (Sleep Disorder Diagnostic)
1331 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 373-9393
DAVID N, TAYLOR, D.D.S.
Dentist (General Practice)
1331 N ELM ST, STE. 102
GREENSBORO, NC 27401
Guilford County (336) 378-9630
DR. JEFFREY CHANG M.D.
Radiology (Diagnostic Radiology)
1331 N ELM ST, SUITE 200
GREENSBORO, NC 27401
Guilford County (336) 274-9617
REBECCA SMITH KENNEDY MD
Radiology (Diagnostic Radiology)
1331 N ELM ST, SUITE 200
GREENSBORO, NC 27401
Guilford County (336) 274-9617
MR. DAVID LEE CALL MD
Radiology (Diagnostic Radiology)
1331 N ELM ST, SUITE 200
GREENSBORO, NC 27401
Guilford County (336) 274-9617
GREENSBORO HEART CENTER LLC
Clinic/Center (Multi-Specialty)
1331 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 373-9393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freeman Jackson's NPI number?

The NPI number for Freeman Jackson is 1235112178. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Freeman Jackson located?

Freeman Jackson practices at 1331 N Elm St Suite 200, Greensboro, NC 27401. The listed phone number is (336) 274-9617.

What is Freeman Jackson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Freeman Jackson was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.